Individual provider · Type 1 NPI

Johnny Shaw

Addiction (Substance Use Disorder) Counselor · Columbus, OH

NPI number 1194310318 Active

Practice location

1547 W Broad St
Columbus, OH 43222-1043

Call (614) 352-2620 Map

Fax (614) 675-2577

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.175616 (MS)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1194310318

Johnny Shaw's National Provider Identifier is 1194310318, issued on Mar 9, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Columbus, OH. The record was last updated on Mar 9, 2021.